[HSF] Gatroepiproic artery for redo CABG to PDA

[Tea Acuff]

Be careful with your guarantees, Tohru. Life is a tricky business.
tea



----- Original Message ----
From: Tohru Asai <toruasai at belle.shiga-med.ac.jp>
To: OpenHeart-L at lists.hsforum.com
Sent: Thursday, May 29, 2008 6:15:43 AM
Subject: Re: [HSF] Gatroepiproic artery for redo CABG to PDA

Dr.Zhou
Skeletonized GEA is my speciality. Please take a look at

Asai, T., Tabata S.: Skeletonization of the Right Gastroepiploic Artery
Using an Ultrasonic Scalpel. Ann Thorac Surg 2002 74: 1715-1717

I have used about 250 GEAs in OPCAB and am still using it. I don't extend
median sternotomy too much to laparotomy. Instead, cut down the fibrous part
of diaphragm vertically all the way. This makes the laparotomy limited and
the visualization during OPCAB better.

If target vessel stenosis is greater than 90%, GEA will show excellent early
patency and long term outcome can be guaranteed.
Tohru (a Japanese surgeon)
-- 
Tohru Asai
Shiga University of Medical Science
Otsu, Japan



> 
> Just wonder if anybody is still doing gatroepiproic artery for redo PDA graft.
> I have a patient needs redo one graft to PDA. Abdomen is obese.
> 
> Z Zhou
> Sent via BlackBerry by AT&T
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